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GWENDOLYN HAIRSTON
NPI 1053723486
Licensed Practical Nurse in Greensboro, NC

Active since May 20, 2014
510 BANNER AVE, GREENSBORO, NC 27401(336) 285-7915 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gwendolyn Hairston NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWENDOLYN HAIRSTON (NPI 1053723486) is an individual licensed practical nurse in Greensboro, North Carolina, licensed in North Carolina (68358) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1053723486
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameGWENDOLYN HAIRSTON
Location Address510 BANNER AVEGreensboro, NC 27401-4303
Mailing Address510 Banner AveGreensboro, NC 27401-4303
Phone(336) 285-7915
Sole ProprietorYes
Enumeration DateMay 20, 2014
✔ NPI 1053723486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NC · 68358
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
510 BANNER AVE, Greensboro, NC 27401
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIZPAH HEALTHCARE, INC.
Assisted Living Facility
510 BANNER AVE
GREENSBORO, NC 27401
Guilford County (336) 273-2380
ARBOR CARE ASSISTED LIVING, INC.
Assisted Living Facility
510 BANNER AVE
GREENSBORO, NC 27401
Guilford County (336) 273-2380

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwendolyn Hairston's NPI number?

The NPI number for Gwendolyn Hairston is 1053723486. It was assigned to this individual provider in the NPPES registry on May 20, 2014.

Where is Gwendolyn Hairston located?

Gwendolyn Hairston practices at 510 Banner Ave, Greensboro, NC 27401. The listed phone number is (336) 285-7915.

What is Gwendolyn Hairston's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Gwendolyn Hairston was last updated on May 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.